Healthcare Provider Details

I. General information

NPI: 1598052938
Provider Name (Legal Business Name): MARIE L TESSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 DESIARD ST
MONROE LA
71201-7207
US

IV. Provider business mailing address

PO BOX 7495
MONROE LA
71211-7495
US

V. Phone/Fax

Practice location:
  • Phone: 318-388-1250
  • Fax: 318-388-0948
Mailing address:
  • Phone: 318-388-1250
  • Fax: 318-388-0948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3909
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: